Beneficiary Requests Indemnification, but Had No Financial

100.4 - Beneficiary Requests Indemnification, but Had No Financial Interest in the Claim (Rev. 1, 10-01-03) If a request for indemnification is received from the beneficiary but the beneficiary did not have full financial interest in the claim, then any other person(s) who made full or partial payment to the provider, practitioner, or supplier must be contacted to ascertain if that person wishes to file for indemnification. If the individual declines to file for the indemnification payment, the SSO or contractor staff should assist in preparing a statement to that effect for the individual’s signature. No payment is made in this instance; however, the contractor notifies all involved parties. If more than one person helped pay the bill; e.g., sons and daughters of the beneficiary got together and each paid a portion of the bill; the contractor must determine the indemnification amount for each payer unless they all agree in writing that payment is to be made to one person. Explain this to the requester for indemnification in such instances.